Garrett Mamikunian

NPI #1114785466 in North Chicago, Illinois

Provider Information

NPI Number: 1114785466
Entity Type: Individual
Name: Garrett Mamikunian
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 11, 2024
Last Updated: Mar 11, 2024

Practice Location

Address: 3333 GREEN BAY RD
City: North Chicago
State: Illinois
ZIP Code: 60064-3037
Phone: (907) 301-3326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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